MRS. SANDRA MARIE MELLOR DNP APPN FNP-BC NPI 1396783908

NPI Information

NPI: 1396783908
Provider Name: MRS. SANDRA MARIE MELLOR, DNP, APPN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8316 E 61ST ST STE 101A
TULSA, OK
ZIP 74133
Phone: (918) 893-3535
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MRS. Sandra Marie Mellor, DNP, APPN, FNP-BC is a family nurse practitioner in Tulsa, OK. MRS. Sandra Marie Mellor, DNP, APPN, FNP-BC NPI is 1396783908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8316 E 61ST ST STE 101A
TULSA, OK
ZIP 74133-908
Phone: (918) 893-3535
Fax: (918) 893-3570

The NPI 1396783908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 1/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	88750	OKLAHOMA	No
2	363LF0000X	Nurse Practitioner	Family	88750	OKLAHOMA	Yes
3	363LF0000X	Nurse Practitioner	Family	653337	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200623310A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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